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Robotic hysterectomy - for the cases that need the robot.

Da Vinci-assisted hysterectomy for large fibroids, deep endometriosis, complex adhesions, prolapse and early cancer - with an honest conversation about when vaginal or standard laparoscopic is a better choice.

See indicative pricing
A radiographer guides a patient onto the bed of an advanced 3 Tesla MRI scanner in a London imaging suite

Indicative pricing

What a private robotic hysterectomy costs in the UK.

Indicative ranges across our partner robotic gynaecology units.

In short

Benign robotic total hysterectomy: £11,000–£17,000, home same day or next morning.

ProcedureIndicative range
Robotic total hysterectomy (benign) £11,000–£17,000
Robotic total hysterectomy + BSO £12,500–£19,000
Robotic hysterectomy for large fibroid uterus £13,500–£20,000
Robotic hysterectomy for deep endometriosis £14,000–£22,000
Robotic radical hysterectomy (cervical cancer) £20,000–£32,000
Robotic hysterectomy with pelvic lymphadenectomy (endometrial cancer) £18,000–£28,000
Consultant gynaecology consultation £250–£450

Prices vary by hospital and by complexity - large fibroids, deep endometriosis, and cancer with lymphadenectomy sit at the top of the range.

The problem

The robot is a tool, not a promise.

Robotic hysterectomy earns its place in complex cases. For a straightforward benign hysterectomy, vaginal or standard laparoscopic often recovers just as fast - sometimes faster.

  • Right approach for your anatomy

    Vaginal, standard laparoscopic, robotic or open - the right choice depends on your uterus, pathology and previous surgery. Not what the marketing prefers.

  • Volume beats novelty

    A high-volume robotic gynaecologist beats a marginal-volume surgeon on a shiny console. Ask for numbers.

  • The LACC caveat, if it applies

    For radical hysterectomy for cervical cancer, open surgery gives better oncological outcomes than minimally invasive. We tell you plainly if that applies to your case.

When it helps

When robotic hysterectomy is the right choice.

The situations where the robot earns its place, plus the one red flag that means gynae-oncology urgently.

  • Heavy or debilitating menstrual bleeding

    Menorrhagia unresponsive to Mirena coil, tranexamic acid and ablation - hysterectomy is definitive.

  • Large or symptomatic fibroids

    A fibroid uterus too large for straightforward laparoscopic morcellation - the robot gives dexterity and reach for hilar dissection.

  • Deep infiltrating endometriosis

    Bowel, bladder or ureteric endometriosis needing complex dissection - a specialist robotic gynaecology field.

  • Adenomyosis with chronic pain

    Painful, boggy uterus with heavy bleeding refractory to hormonal treatment - hysterectomy resolves the pathology.

  • Prolapse with concurrent uterine disease

    Robotic hysterectomy combined with sacrocolpopexy or apical suspension for prolapse - one operation, one recovery.

  • Early-stage endometrial cancer

    Robotic total hysterectomy with BSO and sentinel node mapping - the standard-of-care surgical approach.

  • Early-stage cervical cancer

    Robotic radical hysterectomy for selected FIGO IA2–IB1 disease. Case selection is critical after the LACC trial data.

  • Red flag: rapidly growing pelvic mass with ascites

    Fast-growing mass with fluid, weight loss or bloating is urgent gynae-oncology - same-week two-week-wait referral, not a routine booking.

Procedure options

Approach and extent both depend on the indication.

Each option, explained - including when vaginal or standard laparoscopic is the better route.

  • Robotic total hysterectomy

    Removal of the uterus and cervix. Four robotic arms plus a bedside assistant. Ideal for large uteri, adhesions or higher BMI where standard laparoscopy is technically harder.

  • Robotic subtotal (supracervical) hysterectomy

    Uterus removed, cervix left in place. Selected patients who prefer to keep the cervix - needs ongoing cervical screening.

  • Robotic hysterectomy + BSO

    Total hysterectomy with bilateral salpingo-oophorectomy - often at the same operation for menopausal women or BRCA carriers.

  • Robotic radical hysterectomy

    For selected early cervical cancer. Includes parametrial resection and vaginal cuff. Note: after the LACC trial, minimally invasive radical hysterectomy is offered only for very selected cases with clear counselling.

  • Robotic hysterectomy with sentinel node mapping

    For endometrial cancer - ICG-guided sentinel lymph node detection alongside hysterectomy and BSO.

  • Robotic hysterectomy for deep endometriosis

    Combined with bowel, bladder or ureteric resection where needed - multidisciplinary robotic gynae, colorectal and urology.

  • Robotic sacrocolpopexy at hysterectomy

    For prolapse - mesh-based apical suspension performed at the same operation.

  • Vaginal or standard laparoscopic alternatives

    Vaginal hysterectomy is often the fastest recovery for suitable anatomy. Standard laparoscopic works well for most benign cases without adhesions or very large uteri. Not every hysterectomy needs the robot.

Safety and recovery

What to expect afterwards - honestly.

Robotic hysterectomy is a well-established operation. The things worth planning are the cuff protection, the menopause and fertility conversation, and any oncological surveillance.

  • GA in a licensed theatre

    Under general anaesthetic in a CQC-registered hospital. Most robotic total hysterectomies are day-case or one night. Radical and complex cases 2–3 nights.

  • Bleeding, transfusion and conversion

    Blood loss is typically less than 100 mL in robotic hysterectomy. Transfusion under 2 percent. Conversion to open under 3 percent in expert hands.

  • Injury to ureter, bladder or bowel

    Injury to nearby structures occurs in under 1 percent of cases. Modern robotic training and cystoscopy at case end reduce ureteric injury rates.

  • Infection, DVT and PE

    Wound and pelvic infection under 3 percent. DVT prophylaxis (stockings, heparin, early mobilisation) is standard.

  • Vaginal cuff dehiscence

    Cuff separation is a rare (under 1 percent) but real complication of any total hysterectomy - heavy lifting and intercourse restrictions for 6 weeks reduce risk.

  • Surgical menopause if BSO in a premenopausal woman

    If both ovaries come out and you were premenopausal, expect immediate menopausal symptoms. HRT until age 50 unless contraindicated is standard.

  • Adhesions and hernia

    Longer-term: adhesions and port-site hernia are uncommon. Port sites heal quickly in most patients.

  • LACC trial caveat for cervical cancer

    For radical hysterectomy for cervical cancer, the LACC trial showed inferior oncological outcomes with minimally invasive vs open surgery - the choice needs explicit informed consent.

  • Red flags after surgery

    Fever, spreading redness, heavy vaginal bleeding, severe abdominal pain, shortness of breath or calf pain need the same-day team or A&E, not a routine call.

Reading your operation note

Your operation note in four parts. Read the last one first.

Whichever extent was needed, the note the surgeon sends you keeps to the same shape.

A UK consultant gynaecologist reviewing a patient’s robotic hysterectomy operation notes

A quiet reminder

Gynaecological language is precise - we translate it for you.

If you would like us to talk you through the note and the histology before your review, just ask.

  1. 01 Header

    Approach, extent and ovaries

    Robotic total, subtotal or radical hysterectomy - with or without the tubes, ovaries or lymph nodes.

  2. 02 Technique

    Anatomy, findings and adjuncts

    What was seen inside the pelvis - adhesions, endometriosis, node stations sampled - and any intra-operative cystoscopy or ureteric check.

  3. 03 Findings

    Histology and margins

    What the pathologist reported on uterus, tubes, ovaries and nodes - including any incidental findings.

  4. 04 Impression

    Menopause plan, HRT, follow-up

    Read this first: HRT plan if premenopausal + BSO, activity restrictions, cuff protection at 6 weeks, and any oncology surveillance.

Recognised by major UK insurers

BupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealix

Hysterectomy for a genuine indication is usually covered on standard inpatient policies. Robotic use may need pre-authorisation.

Frequently asked

Everything we get asked about robotic hysterectomy.

Quick answers on outcomes, alternatives, LACC, recovery and cost.

  • What is a robotic hysterectomy?

    A robotic hysterectomy uses the da Vinci robotic platform to remove the uterus (and cervix, tubes or ovaries as needed) through four or five small abdominal ports. The surgeon operates from a console with wristed instruments, giving greater dexterity than standard laparoscopy for complex pelvic anatomy - large fibroids, deep endometriosis, dense adhesions or higher BMI.

  • How does robotic hysterectomy compare to standard laparoscopic?

    For a straightforward benign hysterectomy, standard laparoscopic and robotic give broadly similar outcomes in experienced hands. Vaginal hysterectomy, where anatomy allows, is often the fastest recovery. Robotic surgery shines in complex cases: large fibroid uteri, deep endometriosis, dense adhesions, higher BMI, and cancer with lymphadenectomy. The choice comes down to case complexity and surgeon expertise.

  • What about the LACC trial for cervical cancer?

    The LACC randomised trial (2018) showed inferior recurrence-free and overall survival with minimally invasive radical hysterectomy compared with open surgery for early cervical cancer. Since then, UK and international guidance recommends open radical hysterectomy as the standard for most patients. Minimally invasive radical hysterectomy is offered only to very selected cases with clear consent. Robotic hysterectomy for endometrial cancer is unaffected by this trial.

  • How long is recovery?

    Most robotic total hysterectomies for benign disease go home the same day or the next morning. Return to office work in 2–3 weeks and full activity by 4–6 weeks. Complex cases (deep endometriosis, cancer with nodes) take 6–8 weeks. Avoid heavy lifting and intercourse for 6 weeks to protect the vaginal cuff.

  • Will I go through menopause after robotic hysterectomy?

    Only if both ovaries are removed and you were premenopausal. A hysterectomy alone - leaving ovaries intact - does not cause menopause, though periods stop. If bilateral salpingo-oophorectomy is planned in a premenopausal woman, HRT until natural menopause age (about 50) is usually recommended unless contraindicated.

  • How much does a private robotic hysterectomy cost in the UK?

    Roughly £11,000–£17,000 for benign robotic total hysterectomy, £12,500–£19,000 with BSO, £13,500–£20,000 for large fibroid uteri, £14,000–£22,000 for deep endometriosis and £18,000–£32,000 for cancer with lymphadenectomy.

  • Will insurance cover robotic hysterectomy?

    Hysterectomy for a genuine indication (heavy bleeding failing conservative treatment, fibroids, adenomyosis, endometriosis, prolapse or cancer) is usually covered on standard inpatient policies.

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